| NPI | 1932216900 |
|---|---|
| Former Legal Business Name | GREGORY L OBERMANN DDS PC |
| Entity Type | Organization |
| Authorized Contact | GREGORY LYLE OBERMANN Owner 970-351-7153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 105199) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-06-19 |